Dealing with risks in patient care
Quality management
Kerstin Schröder
Qualitätsmanagementbeauftragte
Johannes-Ritter-Straße 100
21502 Geesthacht
Phone:
04152
-918-128
Mail:
ed.tiehdnuseg-demav@redeorhcs.nitsrek
Leitung Therapie, Pflegedirektorin, QMBs
Conference frequency: monatlich
Risk management
Kerstin Schröder
Risikomanagement
Phone:
04152
-918-128
Fax: 04152-918-239
Mail:
ed.tiehdnuseg-demav@redeorhcs.nitsrek
Leitung Therapie, Pflegedirektorin, QMBs
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management PB0.0.70_Vorgehen bei medizinischen Notfällen (09.01.2023) |
| RM05 |
Pain management Handlungsempfehlung Schmerzmanagement in der Pflege bei akuten und chronischen Schmerzen (01.11.2020) |
| RM06 |
Fall prophylaxis Beschluss der FG Pflege Sturzprophylaxe (01.11.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Beschluss der FG Pflege Dekubitusprophylaxe (01.11.2020) |
| RM08 |
Regulated handling of custodial measures PB0.0.76_Fixierung, letzte Aktualisierung: 18.01.2023 (18.01.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Verfahrensstandard Umgang mit Produktproblemen (ZD Einkauf), PB 0.0.67_Gerätedefekt während der Arbeitszeit, Aktualisierung: 26.01.2023 (29.05.2015) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM16 |
Procedure to avoid procedural and patient mix-ups Konzernregelung OP-Sicherheit, A 0.0.14_Umgang mit Patienteneigentum, Letzte Aktualisierung: 27.06.2023, PB0.0.197_Patientenidentifikationsarmband, Letzte Aktualisierung 24.01.2023 (27.01.2022) |
| RM18 |
Discharge management PB0.0.175_Entlassmanagement (09.01.2023) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Beispiel: Corona-Maßnahmen, Hygienemaßnahmen, Aufnahmemanagement, Brandschutz
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 13.10.2022 |
| IF02 |
Internal evaluation of the received reports taken quartalsweise |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken monatlich |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |